| NPI | 1356098289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRYL H MOSS President 813-997-6265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |